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Mastering the Pre-Needle Insertion Protocol
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Mastering the Pre-Needle Insertion Protocol

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Questions and Answers

Before needle insertion, you should ______ the tourniquet

re-tie

Inspect the ______ of the needle before insertion

bevel

The needle should be inserted at a ______ degree angle to the skin surface

15-30

The first tube should be removed when it is ______ with blood

<p>full</p> Signup and view all the answers

Blood in a patient's veins is considered ______.

<p>whole blood</p> Signup and view all the answers

There are ______, most made by the liver, that flow freely through our plasma at all times.

<p>13</p> Signup and view all the answers

When blood leaves the body, whether by venipuncture, injury, or other means-- in a healthily functional body, the coagulation cascade is called upon immediately, and snaps into action. This calls upon these ______ to be drawn to the injured site, bind with thrombocytes and erythrocytes, and create a clot.

<p>clotting proteins</p> Signup and view all the answers

Labeling Tubes Tubes must be labeled with: Patient's Full ______

<p>Name</p> Signup and view all the answers

Patients Date of ______

<p>Birth</p> Signup and view all the answers

Date and Time of blood ______

<p>collection</p> Signup and view all the answers

Name and credentials of the ______

<p>phlebotomist</p> Signup and view all the answers

Centrifugation separates the solid and liquid portions of the blood for easier ______.

<p>testing</p> Signup and view all the answers

Blood collection tubes are also known as ______.

<p>vacutainers</p> Signup and view all the answers

The purpose of vacutainers is to provide ______ transport of blood specimens to laboratory testing facilities.

<p>sterile</p> Signup and view all the answers

The order of draw must be followed to prevent contamination of ______ specimens.

<p>blood</p> Signup and view all the answers

During needle insertion, the bevel of the needle must be facing ______.

<p>upward</p> Signup and view all the answers

To establish blood flow, the first vacutainer should be pushed onto the needle ______.

<p>inside the tube holder</p> Signup and view all the answers

While removing the needle, pressure should be immediately applied on the site to reduce ______.

<p>bruising</p> Signup and view all the answers

After the draw, tubes should be inverted ______ times to ensure thorough mixing.

<p>6-8</p> Signup and view all the answers

During a venipuncture, the phlebotomist should ______ the site before inserting the needle

<p>disinfect</p> Signup and view all the answers

The needle assembly is deposited as one unit into the ______ Container

<p>Sharps</p> Signup and view all the answers

The blood samples may need further ______

<p>processing</p> Signup and view all the answers

The procedure must be ______ in the patient's medical record

<p>documented</p> Signup and view all the answers

Lecture: Evacuated Tube System Concept Overview Blood in a patient's veins is considered 'whole blood.' It is a composition of ________ (liquid portion, 90% water), and the rest is formed elements including red blood cells (erythrocytes, RBCs), white blood cells (leukocytes, WBCs), platelets (thrombocytes), and other formed elements such as proteins, carbohydrates, lipids, minerals, more.).

<p>plasma</p> Signup and view all the answers

There are 13, most made by the liver, that flow freely through our plasma at all times. They are chiefly responsible for the response involved with achieving hemostasis, the halting of blood loss. When blood leaves the body, whether by venipuncture, injury, or other means-- in a healthily functional body, the coagulation cascade is called upon immediately, and snaps into action. This calls upon these ________ to be drawn to the injured site, bind with thrombocytes and erythrocytes, and create a clot.

<p>clotting proteins</p> Signup and view all the answers

Plasma This is the liquid portion of blood which contains all clotting factors, as it would in the body. Serum This is the liquid portion of blood which NO LONGER contains clotting factors, as it has been allowed to clot, and the clotting proteins are contained in the clot of RBCs, platelets and other formed elements below. The remaining liquid is serum, no longer plasma, due to this ________.

<p>process</p> Signup and view all the answers

Whole blood, kept close to how it naturally flows in our systems, is also used often. This is all blood components together-- plasma, with clotting proteins floating freely, along with RBCs, WBCs, platelets, other formed elements. Once blood is collected, if correctly inverted and collection handling and processing requirements are followed (lecture next week on using laboratory directory to find these requirements), then blood will settle and eventually yield one of these three ______. All laboratory tests will have required blood components as the necessary transport element for what the test is qualitatively or quantitatively testing for. Because of this, all blood collection tubes contain additives which either encourage the coagulation process (clot activators), or prevent it from occurring (anticoagulants), in order to meet a specific tests' requirements. Additive Types Clot Activators Enable blood to clot, yields ______. Anticoagulants Prevents blood from clotting, yields ______ or ______, depending on the additive type. No additive Empty. Contains no additive, blood will enter tube and clot naturally without properties altered. Will yield ______.

Signup and view all the answers

Centrifugation separates the solid and liquid portions of the blood for easier ______.

<p>testing</p> Signup and view all the answers

Inspect the ______ of the needle before insertion

<p>bevel</p> Signup and view all the answers

The purpose of vacutainers is to provide ______ transport of blood specimens to laboratory testing facilities.

<p>sterile</p> Signup and view all the answers

No additive Empty. Contains no additive, blood will enter tube and clot naturally without properties altered. Will yield ______.

<p>serum</p> Signup and view all the answers

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